Michael Blake Evans
Neurosurgeon
1025 Victoria Dr
Dunedin
, Florida 34698-5749
Michael Blake Evans
Neurosurgeon
1025 Victoria Dr
Dunedin
, Florida 34698-5749
(727) 734-3685
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Michael Blake Evans
- 1025 Victoria Dr
- Dunedin, FL
- Zip : 34698-5749
- Phone : (727) 734-3685
Second Address
- Michael Blake Evans
- 1025 Victoria Dr
- Dunedin, FL
- Zip : 34698-5749
- Fax : (727) 734-3685
- Phone : (727) 734-3685
Reviews
FAQs
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What type of doctor is Michael Blake Evans
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Is Michael Blake Evans a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 067215 | GA |
National Provider Identifier
| NPI | 1073537916 |
|---|---|
| Provider Name | Michael Blake Evans |
| First Address | Dunedin, FL 34698-5749 |
| Second Address | Dunedin, FL 34698-5749 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 12/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4964382 | (05) | MI |
| ME44887 | MEDICAL LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.